Perioperative management of oral anticoagulated patients undergoing an oral, implant, or periodontal procedure: a survey of practices of members of two dental scientific societies, the PRADICO study

Radoï, Loredana; Hajage, David; Giboin, Caroline; Maman, Louis; Monnet‐Corti, Virginie; Descroix, Vianney; Mahé, Isabelle

doi:10.1007/s00784-019-02877-1

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…[ 1 11 12 ] More patients receiving antithrombtic medications are being treated in Primary Care settings which means all dental professionals need to be aware of the latest guidelines and feel confident to treat them. [ 13 ] In our study, more than half of the dentists and dental hygienists were very familiar with Warfarin (69.2% vs. 62.5%) but only 21% dentists and 12.5% dental hygienists were very familiar with the drug Clopidogrel. However, in an Indian study by Chinnaswami et al ., only 43.4% of the dental professionals knew Warfarin and 83.4% were well aware of Clopidogrel.…”

Section: Discussionmentioning

confidence: 63%

Perception of dental professionals towards dental management of patients using antithrombotic medications in Saudi Arabia: A cross-sectional survey

AlSheef

Gray

Radhi

et al. 2020

J Family Med Prim Care

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Objectives: To assess dental professionals' perception and knowledge about dental management of patients on antithrombotics and determine if the treatment approach is according to the international guidelines. Methods: This cross-sectional survey was conducted in Saudi Arabia during January 2014-December 2015 and included licensed dentists and hygienists from different dental institutions and Saudi's annual dental conference attendees. Data were collected by using a self-administered questionnaire, with questions about dental management of patients on antithrombotics. Data analysis was done using Statistical Package for Social Sciences statistical software, version 22. Results: Of the 305 participants, 302 completed the survey (dentists: 94.7% and dental hygienists: 5.3%). For traditional antithrombotics, familiarity was higher for Warfarin and Aspirin compared to Clopidogrel. However, for new oral anticoagulants (NOACs), familiarity was significantly less for Rivaroxaban ( P = 0.042). A significant number of participants responded that they were unsure as to how to treat patients [Enoxaparin ( P < 0.001), Rivaroxaban ( P < 0.037), and Dabigatran ( P < 0.027)]. Furthermore, the management of patients on traditional or NOACs was not under guidelines (ranging: 8.2%-42.2%). Conclusion: Dental professionals have limited familiarity with antithrombotics, especially NOACs. Therefore, awareness about NOACs and their impact on dental procedures is needed among dentists in primary healthcare settings, to facilitate proper and timely management.

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Section: Discussionmentioning

confidence: 63%

Perception of dental professionals towards dental management of patients using antithrombotic medications in Saudi Arabia: A cross-sectional survey

AlSheef

Gray

Radhi

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…Furthermore, there was high level of awareness about the management of VKA, control of the INR and local hemostatic techniques [25]. A substantial improvement in knowledge in comparison with previous study was observed [21,25]. The knowledge of Polish dentist on INR relevance and validity in VKA and NOAC patients seems suboptimal but relatively better in comparison to other countries.…”

Section: Discussionmentioning

confidence: 86%

“…Finally, a recent study conducted 11 years after the first French guidelines showed that 95% of practitioners conducted invasive procedures on patients treated with VKA (mostly low risk of bleeding) [25]. Furthermore, there was high level of awareness about the management of VKA, control of the INR and local hemostatic techniques [25]. A substantial improvement in knowledge in comparison with previous study was observed [21,25].…”

Section: Discussionmentioning

confidence: 93%

“…A study performed in 2017 in India showed that only 7.1% of dentists from university centers were familiar with NOACs [24]. Finally, a recent study conducted 11 years after the first French guidelines showed that 95% of practitioners conducted invasive procedures on patients treated with VKA (mostly low risk of bleeding) [25]. Furthermore, there was high level of awareness about the management of VKA, control of the INR and local hemostatic techniques [25].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, awareness about NOAC treatment was also improved, with up to 87% of practitioners declaring familiarity with these drugs. It was reported that 62.9% of respondents had not changed the treatment before invasive procedures in the oral cavity, 70.8% had not evaluated coagulation parameters, and only 13.9% were testing for an INR value [25]. Depending on the type of treatment the level of awareness amongst polish dentists differs.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge on the guideline-recommended use of antiplatelet and anticoagulant therapy during dental extractions: a contemporary survey among Polish dentists

Tokarek¹,

Homaj²,

Zabojszcz³

et al. 2020

Kardiol Pol

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Management of dental care of patients on immunosuppressive drugs for chronic immune-related inflammatory diseases: a survey of French dentists’ practices

et al. 2023

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Objectives The aim of the study was to provide an overview of the practices of French general dentists (GDs) and specialists (SDs) concerning the management of patients with inflammatory bowel diseases (IBDs), rheumatic inflammatory diseases (IRDs), and vasculitis on biologic disease-modifying antirheumatic drugs (bDMARDs), conventional DMARDs, or immunosuppressants (ISs). Materials and methods An online national cross-sectional survey with 53 questions was developed by a multidisciplinary team including rheumatologists, gastroenterologists and dentists based on their clinical experience. It was refined following a test with nine dentists in private practice and in hospital before being disseminated to the members of French scientific societies and colleges of dentistry teachers over 3 months. Responses of general dentists versus specialists were compared with respect to their experience in managing patients with IRDs or IBDs, knowledge/training, type of invasive procedure performed, management of medical treatment, perioperative oral-care protocols, and frequency of postoperative complications after invasive dental care procedures. Result In total, 105 practitioners fully completed the survey (participation rate 11.1%). SDs more frequently performed invasive surgical procedures and were more aware of the recommendations of learned societies than GDs. They encountered more post-operative complications for patients on bDMARDs. For both SDs and GDs, most patients were managed without stopping treatment and pre- and postoperative antibiotics were prescribed to more than 75% of patients. When medical treatment was stopped, the decision was made by the prescribing physician. Conclusion Complications were reported more frequently by SDs when highly invasive procedures were performed on patients under active drug therapy. Certain common procedures, such as scaling and root planing, appear to be safe, regardless of treatment management. However, adapted guidelines for the practice of dentistry are needed to standardize the management of patients on bDMARDS, conventional DMARDs, or ISs. Clinical relevance French dentists perform a wide range of oral procedures on patients on bDMARDS, conventional DMARDs, or ISs under antibiotic coverage and antiseptic mouthwashes. SDs reported more postoperative complications after extensive invasive procedures for patients under active drug therapy, despite their greater knowledge of recommendations on how to manage such patients.

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Perioperative management of oral anticoagulated patients undergoing an oral, implant, or periodontal procedure: a survey of practices of members of two dental scientific societies, the PRADICO study

Cited by 4 publications

References 13 publications

Perception of dental professionals towards dental management of patients using antithrombotic medications in Saudi Arabia: A cross-sectional survey

Perception of dental professionals towards dental management of patients using antithrombotic medications in Saudi Arabia: A cross-sectional survey

Knowledge on the guideline-recommended use of antiplatelet and anticoagulant therapy during dental extractions: a contemporary survey among Polish dentists

Management of dental care of patients on immunosuppressive drugs for chronic immune-related inflammatory diseases: a survey of French dentists’ practices

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